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A Study of LY900014 in Participants With Type 1 Diabetes (PRONTO-T1D)

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Lilly

Status and phase

Completed
Phase 3

Conditions

Type 1 Diabetes Mellitus

Treatments

Drug: Insulin Lispro
Drug: Insulin Degludec
Drug: Insulin Glargine
Drug: LY900014

Study type

Interventional

Funder types

Industry

Identifiers

NCT03214367
I8B-MC-ITRM (Other Identifier)
16313
2015-005356-99 (EudraCT Number)

Details and patient eligibility

About

The main purpose of this study is to evaluate the efficacy of the study drug LY900014 compared to insulin lispro, both in combination with insulin glargine or insulin degludec, in adults with type 1 diabetes (T1D).

Enrollment

1,392 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Have T1D for at least 1 year prior to screening and continuously using insulin for at least 1 year.
  • HbA1c of ≥7.0 and ≤9.5%.
  • Use insulin lispro, insulin aspart, or insulin glulisine as prandial insulin.
  • Use insulin glargine, insulin detemir, insulin degludec, or neutral protamine Hagedorn (NPH) insulin as basal insulin.

Exclusion criteria

  • Have used other antihyperglycemic medications or therapies (inhaled, oral or injectable) within 90-days of screening.
  • Have had more than 1 severe hypoglycemic episode within 6 months of screening.
  • Have had more than 1 hospitalization related to hyperglycemia or diabetic ketoacidosis within 6 months of screening.
  • Have clinically significant gastrointestinal disease.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

1,392 participants in 6 patient groups

LY900014
Experimental group
Description:
LY900014 given subcutaneously (SC) 0-2 minutes before each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Preprandial insulin doses were individualized and titrated according to protocol-defined targets.
Treatment:
Drug: LY900014
Drug: Insulin Degludec
Drug: Insulin Glargine
Insulin Lispro (Humalog)
Active Comparator group
Description:
Insulin lispro given SC 0-2 minutes before each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Preprandial insulin doses were individualized and titrated according to protocol-defined targets.
Treatment:
Drug: Insulin Degludec
Drug: Insulin Lispro
Drug: Insulin Glargine
LY900014 Postmeal (Open Label)
Experimental group
Description:
LY900014 given SC 20 minutes after the start of each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Treatment:
Drug: LY900014
Drug: Insulin Degludec
Drug: Insulin Glargine
LY900014 - Maximum Extended Enrollment (MEE)
Experimental group
Description:
LY900014 given subcutaneously (SC) 0-2 minutes before each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Preprandial insulin doses were individualized and titrated according to protocol-defined targets.
Treatment:
Drug: LY900014
Drug: Insulin Degludec
Drug: Insulin Glargine
Insulin Lispro (Humalog)-MEE
Active Comparator group
Description:
Insulin lispro given SC 0-2 minutes before each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Preprandial insulin doses were individualized and titrated according to protocol-defined targets.
Treatment:
Drug: Insulin Degludec
Drug: Insulin Lispro
Drug: Insulin Glargine
LY900014 Postmeal (Open Label)-MEE
Experimental group
Description:
LY900014 given SC 20 minutes after the start of each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Treatment:
Drug: LY900014
Drug: Insulin Degludec
Drug: Insulin Glargine

Trial documents
2

Trial contacts and locations

171

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Data sourced from clinicaltrials.gov

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